Central Line Access

This procedure involves the placement of a catheter through the skin, into a vein in the arm, neck, or upper chest. The catheter can be used to give antibiotics, chemotherapy, liquid nutrition, or kidney dialysis. The tip of the catheter typically lies in the largest vein in the center of the chest. After its placement, patients cannot feel the catheter except for the site where it enters the skin where any soreness usually resolves within several days.

The examination is performed using Ultrasound and X-Ray. The skin is numbed with a local anesthetic and in some cases, patients may require sedation through an IV.

PICCs (Peripherally Inserted Central Catheters), pictured here, are placed in the arm do not require patient preparation.

Dialysis or chemotherapy catheter placements require the following patient preparation:

Preparation:

1. Do not eat or drink 4 hours prior to the procedures.

2. Arrange for a family member or a friend to drive you home.

3. Inform your doctor of any allergies you may have especially to x-ray contrast.

4. You may take your medicines with small sips of water. Please consult with your doctor about whether or not to take certain medications such as blood thinners like Coumadin or Insulin.

5. Bring all of your medications with you.

After Discharge:

1. Limit activity for at least 24 hours after the examination.

2. Do not get your catheter wet unless you are told it's ok.

3. Do not let anything such as clothing pull on the catheter. Try not to touch the catheter and if you must, wash your hands prior.

Notify Your Doctor If:

1. The skin around your catheter bleeds, oozes, or becomes red or tender.

2. If you develop a fever above 101°F.

3. If your arm becomes swollen.

4. If the catheter is dislodged or falls out.